UPI (Provider ID): 1059
Change Report (if Any):

Short Name: MATURE - SUMM

Long Name 1: MATURE SERVICES INCORPORATED
Long Name 2:

Address 1: 365 SOUTH PORTAGE PATH
Address 2:

City: AKRON
Zip Code: 44320
County: SUMM

Contact: SUZANNE RYMER
Title: EX DR
Phone: 3302534597
FAX: 3307625571

Vendor: 1059

Reports Status: CLAIMS/BH

MACSIS Last Update Date: 12/09/2011

File Produced: 14JUL2016